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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI 1487142097


NPI Information

NPI: 1487142097
Provider Name: PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3555 HARDEN STREET EXT STE 141
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4303
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PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP is a psychiatry psychiatry neurology in Columbia, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP NPI is 1487142097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3555 HARDEN STREET EXT STE 141
COLUMBIA, SC
ZIP 29203-894
Phone: (803) 434-4303
Fax: (803) 434-4351

The provider's authorized official is William D. Anderson Iii, .
The authorized official title is Chief Medical Officer and has the following contact phone number (803) 545-5005.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084F0202XPsychiatry & NeurologyForensic PsychiatryNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP7530MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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